It is requested to provide the following information under the RTI Act, 2005.

(1) Details of information required

(a) Subject matter and details of information required in the form of specific questions which should be specific.

Q. No. 1 – ……

Q. No. 2 – …….

Q. No. 3 – ……..

(b) Period for which information is sought.

(2) If inspection is being sought, a categorical mention should be made.

(3) If life and liberty is claimed, it should be specified.

(4) Any other relevant point

In case the information is held by or related to another public authority, the application or such part of it as may be appropriate may be transferred to that other public authority under intimation to the undersigned as per Section 6(3) of RTI Act. (It acts as a reminder for the PIO who is required to do it under the Act).

Evidence of payment of Application fee of Rs. 10/- and mode of payment.

(i) A fee of Rs. 10/- has been deposited in cash in the Accounts Office of the Public authority vide Receipt No.________ dated__________; or

(iii) Exemption from payment of fees is claimed and evidence of the BPL status (example- Photocopy of BPL Ration Card) is attached.

Signature / Thumb Impression of the applicant

Full name and Postal Address of the Applicant

Contact Phone No. and e-mail (If any)

Recognitions

Certificate of Honour from the Public Concern for Governance Trust in 2013 for contribution to the RTI movement,
Power of One Award from The Bombay Catholic Sabha for outstanding contribution to Mumbai city.